Organization
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN L MCNICHOLS (VP/COO)
(515) 471-9201
Entity
Organization
Contact information
Practice address
3701 LAFAYETTE RD, EVANSDALE, IA 50707-1129
(319) 274-7060
(319) 233-1156
Mailing address
8101 BIRCHWOOD CT, SUITE R, JOHNSTON, IA 50131-2930
(515) 471-9372
(515) 471-9319
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/05/2006
Last updated
12/30/2011
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